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    Campus-wide examination of evidence synthesis publication output
    (2025-10-17) Perkins-Vetter, Cecelia J.; Craven, Hannah J.; Hinrichs, Rachel J.; Wanke, Renee K.
    Introduction: A team of three librarians and an MLIS student collaborated to examine evidence synthesis (ES) articles published by authors affiliated with a single university campus. The team established the null hypothesis that at Indiana University Indianapolis and Indiana University School of Medicine, ES projects are only published by authors affiliated with health sciences disciplines. Additionally, the team established a second null hypothesis that librarian co-authorship only occurs in ES publications by campus-affiliated authors in health sciences disciplines. Methods: The librarians built a Scopus search strategy to capture ES articles with at least one author affiliated with IU Indianapolis. The search used the date range 2021 – 2025 to account for the publication of PRISMA-S in 2020. “Author affiliation and methods” screening was conducted independently by two reviewers in Covidence. Data extraction recorded whether publications included a librarian coauthor and identified the school within IU Indianapolis of each affiliated author. For authors within the School of Medicine, the affiliated department was also recorded. Discussion: Next steps for the project include a second round of data extraction looking for search quality indicators in each article based on elements outlined in PRISMA-S and the general PRISMA guidelines. By examining ES projects conducted by authors affiliated with IU Indianapolis, the null hypotheses could be rejected if ES publications occurring outside of the health science disciplines are identified with librarian co-authors. Libraries on the IU Indianapolis can potentially use quantitative data on ES publications by campus-affiliated authors as evidence for hiring and training more librarians on systematic searching. This presentation won the "Excellence in Research" award for papers at the Midwest Chapter of Medical Librarians Association 2025 Annual Conference.
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    Tracking medical resident publications: Insights for library services and graduate medical education support
    (2025-10-16) Stumpff, Julia C; Ramirez, Mirian; Ralston, Rick
    OBJECTIVES: To support resident scholarship, we analyzed resident publication patterns at our institution. In this study, we refined our 2022-23 methodology to incorporate new questions and learnings from the initial analysis. METHODS: We used a cross-sectional study design identifying residents with ≥3 years at our medical school who completed training between July 1, 2018, and June 30, 2019. Names were searched in two databases, Scopus and PubMed. If publications were published from one year after the trainee start date to 18 months after the trainee termination date, they were included in our analysis. Blinded reviewers independently assigned study types to each publication, with disagreements resolved by a third reviewer or by consensus. RESULTS: Among 219 residents, 41% had at least one publication. Of those publications, 68% were categorized into five publication types: cohort, case report, narrative review, case series, and perspective/viewpoint. Nearly 1/3 of the 90 residents published their first article between 12 and and 25 months. CONCLUSIONS: Librarians at our medical school can use this data to target publishing education and awareness based on time-in-residency and department. We have developed and refined a methodology that can be applied to future cohorts, enabling longitudinal tracking of scholarly productivity.
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    Intravenous Bronchodilators in Pediatric Critical Asthma: A Systematic Review and Network Meta‐Analysis
    (Wiley, 2025-07-10) Abu‐Sultaneh, Samer; Miller, Andrew G.; Basnet, Sangita; Craven, Hannah J.; Dalabih, Abdallah; Irazuzta, Jose Enrique; Whipple, Elizabeth C.; Kapuscinski, Christine A.; Newth, Christopher J. L.; Said, Sana J.; Goodfellow, Lynda T.; White, Benjamin R.; Iyer, Narayan Prabhu
    Introduction: Pediatric critical asthma is one of the most common pediatric illnesses in children admitted to the pediatric ward and pediatric intensive care unit (PICU). Adjunct intravenous (IV) bronchodilators are often used when initial management with systemic corticosteroids and inhaled short-acting beta agonists (SABA) fail to provide improvement in a patient's clinical condition. While the recent guidelines gave recommendations for the use of different IV bronchodilators compared to placebo, it did not include ranking on which one should be used as first-line or second-line agent. The aim of this network meta-analysis is to determine the effect of IV bronchodilators on patient-centered outcomes and rank medications based on their effectiveness in these outcomes. Methods: A systematic review was conducted using three databases MEDLINE, Embase, and CINAHL to identify randomized control trials examining the use of IV magnesium sulfate (MgSO4), IV methylxanthines (aminophylline or theophylline), IV SABA (salbutamol, terbutaline) in pediatric critical asthma patients. Bayesian network metanalytic framework was used to compare the interventions. Results are reported as odds ratio (OR) or mean difference (MD) and 95% Credible Interval (CrI). Results: Twelve trials (n = 852) were included in the network meta-analysis. Largest reduction in hospital length of stay (LOS), PICU admission, and PICU LOS were noted with IV MgSO4; (MD: -3.1 days, 95% CrI: -6.9 days to 0.13 days), (OR 0.21; 95% CrI 0.02, 1.3), and (MD: -4.0 days, 95% CrI: -7.1 days to -1.2 days) respectively. IV MgSO4 was ranked first in three outcomes of interest with Surface Under the Cumulative Ranking curve (SUCRA) of 0.884 for hospital LOS, 0.919 for PICU admission, and 0.957 for PICU LOS. For preventing intubation, IV SABA was ranked the highest (SUCRA 0.995), but the only study with IV SABA had zero intubation events. In a sensitivity analysis that excluded studies with zero events, the intubation rate was lowest with IV MgSO4 (OR 0.10; 95% CrI 0.003, 0.88) and it was ranked the best treatment (SUCRA 0.921). Conclusions: In this network meta-analysis comparing different IV adjunct bronchodilators, IV MgSO4 was ranked first followed by IV SABA, and then IV methylxanthines. Given these findings and the favorable safety profile, ease of use, and low cost, IV MgSO4 appears most promising the first adjunct IV bronchodilator, however, further large high-quality trials are still needed before it can be endorsed as routine first-line agent.
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    AARC and PALISI Clinical Practice Guideline: Pediatric Critical Asthma
    (Mary Ann Liebert, Inc., 2025) White, Benjamin R.; Miller, Andrew G.; Baker, Joyce; Basnet, Sangita; Carroll, Christopher L.; Craven, Hannah J.; Dalabih, Abdallah; Fitzpatrick, Anne M.; Glogowski, Joel; Irazuzta, Jose Enrique; Kapuscinski, Christine A.; Lenox, Jesslyn; Lovinsky-Desir, Stephanie; Maue, Danielle K.; Moody, Gerald; Newth, Christopher; Rehder, Kyle J.; Sochet, Anthony A.; Said, Sana J.; Willis, L. Denise; Whipple, Elizabeth C.; Goodfellow, Lynda; Abu-Sultaneh, Samer
    To address the lack of guidance for clinicians in their care of children with critical asthma, a multidisciplinary team of medical providers used Grading of Recommendations, Assessment, Development, and Evaluation methodology to make the following recommendations: 1. We suggest the use of continuous inhaled short-acting β agonist (SABA) over frequent intermittent SABA in children treated for critical asthma. (Conditional recommendation, very low certainty of evidence) 2. We suggest the use of either high- or low-dose continuous inhaled SABA regimens in children treated for critical asthma. (Conditional recommendation, very low certainty of evidence) 3. We suggest the use of either dexamethasone or methylprednisolone (or an equivalent dose of prednisone/prednisolone) for children treated for critical asthma. (Conditional recommendation, very low certainty of evidence) 4. We suggest the use of intravenous (IV) magnesium (intermittent or continuous) as an adjunct therapy in children treated for critical asthma. (Conditional recommendation, low certainty of evidence) 5. We cannot recommend for or against the use of IV methylxanthines as an adjunct therapy in children treated for critical asthma. (Conditional recommendation, very low certainty of evidence) 6. We suggest the use of an IV SABA infusion as an adjunct therapy in children treated for critical asthma. (Conditional recommendation, low certainty of evidence) 7. We cannot recommend for or against the application of high-flow nasal cannula versus conventional oxygen therapy in children presenting with critical asthma with persistent hypoxemia and/or respiratory distress. (Conditional recommendation, very low certainty of evidence) 8. We suggest the use of bi-level positive airway pressure over conventional oxygen therapy in children presenting with critical asthma with persistent hypoxemia and/or respiratory distress. (Conditional recommendation, very low certainty of evidence) 9. We cannot recommend for or against the application of bi-level positive airway pressure over high-flow nasal cannula for children hospitalized with critical asthma with persistent hypoxemia and/or respiratory distress. (Conditional recommendation, very low certainty of evidence) 10. We cannot recommend for or against the application of heliox in children treated for critical asthma. (Conditional recommendation, very low certainty of evidence) 11. We suggest the use of a dedicated protocol or pathway for managing children treated for critical asthma. (Conditional recommendation, low certainty of evidence).
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    It’s Never Too Early to Start: Let’s Curate Your Online Scholarly Presence for Residency Applications
    (2025-04-25) Craven, Hannah J.; Shanks, Anthony L.; Pieczko, Brandon T.
    Introduction/Background: A student’s residency application includes various components such as personal statements, letters of recommendation, medical school transcripts and exam scores. With the shift to pass/fail exams, residency applications now rely more heavily on qualitative measures. Reviewers must evaluate applicants based on other markers of excellence, making scholarly activity documentation increasingly important. To better support IUSM students, we aim to teach both students and mentors how to effectively claim and promote their scholarly work online, enhancing their visibility and impact. This initiative aligns with the IUSM strategic plan to maximize learner success statewide, particularly the goal of ensuring learners are well-prepared for their next professional transition. Workshop objective: After our workshop, participants will be able to upload individual scholarly items to our institutional repository, IU Indianapolis ScholarWorks; list those works on their ORCiD profile; create a Google Scholar profile; understand basic individual research metrics; and consider any other online footprints Learning Goals: The goals of our workshop are to introduce the idea and benefit of a scholarly online presence to students at any stage of their undergraduate medical education career; set students up with this career-long skill of maintaining their works, which is much easier to begin curating earlier in their career; and encourage early career students to explore options for research projects with faculty. Methods: Participants will be introduced to the Electronic Residency Application Service (ERAS). The online ERAS worksheet will be utilized, particularly the publications section. We will demonstrate how to upload a scholarly work to our institutional repository. The persistent link created from our upload can be placed in the ERAS publication section, in our online ORCID profile, and will appear in Google Scholar after a few weeks. Resources will be shared encouraging students to consider collaborating on research projects with faculty.
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    Uploading Your IUSM Medical Education Day Works to IU Indianapolis ScholarWorks
    (2025-04-25) Craven, Hannah J.; Pieczko, Brandon T.
    This handout is intended for people presenting at the 2025 IUSM Education Day conference to assist with uploading their posters or presentations to IU Indianapolis ScholarWorks.
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    Informatics Interventions for Maternal Morbidity: Scoping Review
    (JMIR Publications, 2025-03-25) Inderstrodt, Jill; Stumpff, Julia C.; Smollen, Rebecca; Sridhar, Shreya; El-Azab, Sarah; Ojo, Opeyemi; Bowns, Brendan; Haggstrom, David A.
    Background: Women have been entering pregnancy less healthy than previous generations, placing them at increased risk for pregnancy complications. One approach to ensuring effective monitoring and treatment of at-risk women is designing technology-based interventions that prevent maternal morbidities and treat perinatal conditions. Objective: This scoping review evaluates what informatics interventions have been designed and tested to prevent and treat maternal morbidity. Methods: MEDLINE, Embase, and Cochrane Library were searched to identify relevant studies. The inclusion criteria were studies that tested a medical or clinical informatics intervention; enrolled adult women; and addressed preeclampsia, gestational diabetes mellitus (GDM), preterm birth, Centers for Disease Control and Prevention-defined severe maternal morbidity, or perinatal mental health conditions. Demographic, population, and intervention data were extracted to characterize the technologies, conditions, and populations addressed. Results: A total of 80 studies were identified that met the inclusion criteria. Many of the studies tested for multiple conditions. Of these, 73% (60/82) of the technologies were tested for either GDM or perinatal mental health conditions, and 15% (12/82) were tested for preeclampsia. For technologies, 32% (28/87) of the technologies tested were smartphone or tablet applications, 26% (23/87) were telehealth interventions, and 14% (12/87) were remote monitoring technologies. Of the many outcomes measured by the studies, almost half (69/140, 49%) were patient physical or mental health outcomes. Conclusions: Per this scoping review, most informatics interventions address three conditions: GDM, preeclampsia, and mental health. There may be opportunities to treat other potentially lethal conditions like postpartum hemorrhage using proven technologies such as mobile apps. Ample gaps in the literature exist concerning the use of informatics technologies aimed at maternal morbidity. There may be opportunities to use informatics for lesser-targeted conditions and populations.
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    Parental Experiences of Genetic Testing
    (AAP, 2024-03) Groden, Catherine M.; Vetter, Cecelia J.; Salih, Zeynep N. I.; Ruth Lilly Medical Library, School of Medicine
    Genetic testing is increasingly used in clinical practice in the neonatal period, including in NICUs. This testing may have psychological consequences for parents. To best support families, neonatal clinicians should be aware of the various ways in which parents view and respond to genetic testing. In this review, we summarize research on the parental experience of having a newborn infant undergo genetic testing.
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    Amy Blevins, Medical Library Association President, 2023–2024
    (University Library System at the University of Pittsburgh, 2025) Kiscaden, Elizabeth; Craven, Hannah J.; Rios, Gabriel R.; Harris, Ryan; Nicholson, Joey; Ruth Lilly Medical Library, School of Medicine
    Amy Blevins served as the Medical Library Association president from 2023-2024. In this presidential biography, the authors outline a history of Blevins' recruitment to the career, career development, and impact on the association and the profession.
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    A scoping review of librarian involvement in competency-based medical education
    (University Library System at the University of Pittsburgh, 2025) Cyrus, John W.; Zeigen, Laura; Knapp, Molly; Blevins, Amy E.; Patterson, Brandon; Ruth Lilly Medical Library, School of Medicine
    Objective: A scoping review was undertaken to understand the extent of literature on librarian involvement in competency-based medical education (CBME). Methods: We followed Joanna Briggs Institute methodology and PRISMA-ScR reporting guidelines. A search of peer-reviewed literature was conducted on December 31, 2022, in Medline, Embase, ERIC, CINAHL Complete, SCOPUS, LISS, LLIS, and LISTA. Studies were included if they described librarian involvement in the planning, delivery, or assessment of CBME in an LCME-accredited medical school and were published in English. Outcomes included characteristics of the inventions (duration, librarian role, content covered) and of the outcomes and measures (level on Kirkpatrick Model of Training Evaluation, direction of findings, measure used). Results: Fifty studies were included of 11,051 screened: 46 empirical studies or program evaluations and four literature reviews. Studies were published in eight journals with two-thirds published after 2010. Duration of the intervention ranged from 30 minutes to a semester long. Librarians served as collaborators, leaders, curriculum designers, and evaluators. Studies primarily covered asking clinical questions and finding information and most often assessed reaction or learning outcomes. Conclusions: A solid base of literature on librarian involvement in CBME exists; however, few studies measure user behavior or use validated outcomes measures. When librarians are communicating their value to stakeholders, having evidence for the contributions of librarians is essential. Existing publications may not capture the extent of work done in this area. Additional research is needed to quantify the impact of librarian involvement in competency-based medical education.